| NPI | 1528114758 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | JENNIFER THORNLEY Office Manager 203-661-9439 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207R00000X Internal Medicine |
| Additional Taxonomies | 207RN0300X Internal Medicine, Nephrology |
| Enumeration Date | 2007-01-29 |
| Last Update Date | 2007-09-10 |